AFEKCIJA VRATNE KRALJEŽNICE U BOLESNIKA S PSORIJATIČNIM ARTRITISOM

Dubravka Bobek, Đurđica Babić-Naglić, Kristina Potočki, Josipa Kern, Olga Badovinac, Božidar Ćurković

Psoriatic arthritis (PsA) is a systemic disease and cervical spine can be affected. The data regarding cervical spondylitis are very rare and diverse in literarture. The aim of study was to assess the prevalence of cervical spine involvement in patients with PsA. Between totally 41 patients with PsA we confirmed the incidence of 68% (29 patients) with symptomatic cervical spine disease and 29% (12 patients) with radiological evidence of inflammatory involvement. The most frequent radiological findings were apophyseal joint changes, rarely ligamentous calcifi cation and syndesmophytes. Only one patient had subaxial subluxation. The most common type of PsA was axial disease with or with out peripheral arthritis (46%) and the least common was oligoarthritis (22%). There was no statistically significant difference between any type of PsA and cervical involvement. Conclusion: infl ammatory cervical spine changes are not common radiographic finding in patients with PsA and apophyseal joint affection is the most common radiologic sign.

Psorijatični artritis (PsA) je sistemska bolest koja može zahvatiti i vratnu kralježnicu. Podaci o afekciji vratne kralježnice u PsA su različiti. Cilj rada bio je utvrditi učestalost zahvaćenosti vratne kralježnice u bolesnika s PsA. Od ukupno 41 bolesnika s dijagnozom PsA njih 29 (68%) imalo je cervikogene simptome. Upalne radiološke promjene na vratnoj kralježnici registrirane su u 12 (29%) bolesnika. Najčešće radiološke abnormalnosti opažene su na apofizealnim zglobovima, rjeđe je registrirana kalcifikacija ligamenata i sindezmofiti, a samo jedan bolesnik imao je subaksijalnu subluksaciju. Najzastupljeniji tip PsA bio je aksijalna bolest (46%) s ili bez afekcije perifernih zglobova, a najrjeđi oligoartritis (22%). Nije utvrđena statistički značajna razlika između podtipova PsA i učestalosti afekcije vratne kralježnice. Zaključno, vratna kralježnica je relativno rijetko afi cirana u PsA s predominantnim zahvaćanjem apofizealnih zglobova.